SYRACUSE COMMUNITY HEALTH CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SYRACUSE COMMUNITY HEALTH CENTER INC (EIN 16-1080039)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-16
- IRS object ID
- 201813209349301636
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-16T15:30:13-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161080039 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SYRACUSE COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SYRA | BusinessNameControlTxt |
| Phone | 3154767921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 819 SOUTH SALINA STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HALL | PersonNm |
| Person Title | INTERIM PRESIDENT & CEO | PersonTitleTxt |
| Phone | 3154767921 | PhoneNum |
| Signature | 2018-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY HAMMOND | PreparerPersonNm |
| PTIN | P01224809 | PTIN |
| Phone | 3154227109 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.171.181.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-16 | IPDt |
| IP Tm | 13:51:16 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 77986664F491A887631E1BA0CA56BE86717A9302 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9B9B2C04414E8A8A7B0B000B564D82BBD9A17CFF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK HALL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 819 SOUTH SALINA STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,685,491 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://SCHCNY.COM/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS WITH A COMMITMENT TO THOSE WHO MIGHT OTHERWISE BE EXCLUDED FROM THE HEALTHCARE SYSTEM WHILE REMAINING COST EFFECTIVE, EFFICIENT, AND COMPETITIVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 285 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,326,062 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,397,197 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,222,863 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,776,871 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,451 | PYInvestmentIncomeAmt |
| CY Investment Income | -$96,715 | CYInvestmentIncomeAmt |
| PY Other Revenue | $202,366 | PYOtherRevenueAmt |
| CY Other Revenue | $509,466 | CYOtherRevenueAmt |
| PY Total Revenue | $21,752,742 | PYTotalRevenueAmt |
| CY Total Revenue | $22,586,819 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,072,882 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,370,502 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,619,791 | PYOtherExpensesAmt |
| CY Other Expenses | $8,938,849 | CYOtherExpensesAmt |
| PY Total Expenses | $24,692,673 | PYTotalExpensesAmt |
| CY Total Expenses | $24,309,351 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,939,931 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,722,532 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,181,354 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,792,628 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,371,077 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,704,883 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,810,277 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,087,745 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL INDIVIDUALS WITH A COMMITMENT WITH A COMMITMENT TO THOSE WHO MIGHT OTHERWISE BE EXCLUDED FROM THE HEALTHCARE SYSTEM WHILE REMAINING COST EFFECTIVE, EFFICIENT, AND COMPETITIVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,165,206 | ExpenseAmt |
| Revenue | $15,256,094 | RevenueAmt |
| Desc | OPERATED A COMMUNITY BASED HEALTH CENTER TO A LARGELY MEDICALLY UNDERSERVED POPULATION WITH 118,545 ENCOUNTERS. | Desc |
| Total Program Service Expenses | $19,165,206 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 285 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HALL | PersonNm |
| Phone | 3154767921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 819 SOUTH SALINA STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BEN MOORE | |||||||||
| CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVEN WILLIAMS | |||||||||
| VICE-CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HARRY THOMPSON | |||||||||
| SECOND VICE-CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN MARKLEY | |||||||||
| TREASURER | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRUCE CONNER | |||||||||
| SECRETARY | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES CONOLE | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND BLACKWELL | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CALVIN CORRIDERS | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAULA FREEDMAN | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL WOLFSON | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HON VANESSA E BOGAN | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WITHRO WIGGINS | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELEANOR MANUEL | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| AGNES MCCRAY | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN RANDALL | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN THOMPSON | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL VITALETTI | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEOLA RODGERS | |||||||||
| PRESIDENT & CEO | 40.00 | 5.00 | Yes (X) | $240,396 | $0 | $3,627 | |||
| EMILY DEMARCHE | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 5.00 | Yes (X) | $151,772 | $0 | $18,779 | |||
| DERRICK L MURRY | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 5.00 | Yes (X) | $191,860 | $0 | $35,086 | |||
| FELIPE DIAZ | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $263,330 | $0 | $33,474 | Yes (X) | ||||
| CHIMA O CHIONUMA | |||||||||
| PHYSICIAN | 40.00 | $204,735 | $0 | $38,875 | Yes (X) | ||||
| BILL HINES | |||||||||
| MEDICAL DIRECTOR - CAPS | 40.00 | $209,336 | $0 | $38,672 | Yes (X) | ||||
| FRANKIE QUARLES | |||||||||
| CHIEF PATIENT AND RISK MAN | 40.00 | $245,236 | $0 | $6,236 | Yes (X) | ||||
| SURAIYA AZIZ | |||||||||
| PHYSICIAN | 40.00 | $185,535 | $0 | $5,018 | Yes (X) | ||||
| FRANCISCA OKAFOR | |||||||||
| PHYSICIAN | 40.00 | $171,342 | $0 | $16,693 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,863,542 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $196,460 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALITY SYSTEMS INC | |||||
| 18111 VON KARMAN AVENUE SUITE 700 | IRVINE | CA | 92612 | MEDICAL BILLING SERVICES | $1,406,107 |
| SECURITAS SECURITY SERVICES USA INC | |||||
| 101 OLD COVE ROAD SUITE 102 | LIVERPOOL | NY | 13090 | SECURITY SERVICES | $390,609 |
| CNY DIAGNOSTIC IMAGING ASSOCIATES | |||||
| 1000 EAST GENESEE STREET SUITE 100 | SYRACUSE | NY | 13210 | RADIOLOGY SERVICES | $260,650 |
| HEALTHCARE CONNECTIONS LLC | |||||
| 400 SOUTH WOODS MILL ROAD SUITE 11 | CHESTERFIELD | MO | 63017 | PHYSICIAN STAFFING SERVICES | $250,899 |
| STAFF CARE INC | |||||
| 8840 CYPRESS WATERS BOULEVARD 300 | COPPELL | TX | 75019 | PHYSICIAN STAFFING SERVICES | $174,561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $292,613 | RelatedOrganizationsAmt |
| Government Grants | $7,101,813 | GovernmentGrantsAmt |
| All Other Contributions | $2,771 | AllOtherContributionsAmt |
| Total Contributions | $7,397,197 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 624100 | $10,247,945 | $10,247,945 |
| THIRD PARTIES | 621300 | $1,586,092 | $1,586,092 |
| QUALITY INCENTIVE AND CHARITY CAR | 900099 | $1,227,748 | $1,227,748 |
| SELF-PAY | 621300 | $851,122 | $851,122 |
| MEDICARE | 624100 | $633,802 | $633,802 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230,162 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230,162 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,776,871 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,957 | TotalRevenueColumnAmt |
| Exclusion | $1,957 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,243 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,243 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,243 | TotalRevenueColumnAmt |
| Exclusion | $30,243 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $98,672 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$98,672 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$98,672 | TotalRevenueColumnAmt |
| Exclusion | -$98,672 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER | 900099 | $462,561 | $462,561 |
| VENDOR DISCOUNTS | 900099 | $9,549 | $9,549 |
| MEDICAL TRANSCRIPTS | 900099 | $7,113 | $7,113 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $479,223 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,586,819 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,256,094 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$66,472 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $970,305 | TotalAmt |
| Program Services | $308,474 | ProgramServicesAmt |
| Management And General | $661,831 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,266,179 | TotalAmt |
| Program Services | $9,347,468 | ProgramServicesAmt |
| Management And General | $1,918,711 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,749 | TotalAmt |
| Program Services | $196,622 | ProgramServicesAmt |
| Management And General | $69,127 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,592,419 | TotalAmt |
| Program Services | $1,307,705 | ProgramServicesAmt |
| Management And General | $284,714 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,275,850 | TotalAmt |
| Program Services | $1,001,251 | ProgramServicesAmt |
| Management And General | $274,599 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,132 | TotalAmt |
| Program Services | $33 | ProgramServicesAmt |
| Management And General | $166,099 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,010 | TotalAmt |
| Management And General | $61,010 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,114,561 | TotalAmt |
| Program Services | $2,736,998 | ProgramServicesAmt |
| Management And General | $377,563 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,146 | TotalAmt |
| Program Services | $136,849 | ProgramServicesAmt |
| Management And General | $93,297 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,177 | TotalAmt |
| Program Services | $115,252 | ProgramServicesAmt |
| Management And General | $8,925 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,969 | TotalAmt |
| Program Services | $580,194 | ProgramServicesAmt |
| Management And General | $265,775 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,793 | TotalAmt |
| Program Services | $47,060 | ProgramServicesAmt |
| Management And General | $57,733 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,957 | TotalAmt |
| Management And General | $14,957 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,825 | TotalAmt |
| Program Services | $909,942 | ProgramServicesAmt |
| Management And General | $420,883 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,078 | TotalAmt |
| Program Services | $80,348 | ProgramServicesAmt |
| Management And General | $80,730 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $900,295 | $630,413 | $269,882 |
| PROVISION FOR BAD DEBTS | $715,383 | $715,383 | |
| CONSUMABLE SUPPLIES | $539,849 | $489,509 | $50,340 |
| PHARMACEUTICALS | $479,873 | $479,873 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,801 | TotalAmt |
| Program Services | $81,832 | ProgramServicesAmt |
| Management And General | $67,969 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,309,351 | TotalAmt |
| Program Services | $19,165,206 | ProgramServicesAmt |
| Management And General | $5,144,145 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400 | BOYAmt |
| EOY | $515,693 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,691,141 | BOYAmt |
| EOY | $212,475 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $781,839 | BOYAmt |
| EOY | $896,659 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,907 | BOYAmt |
| EOY | $997,429 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,482 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,097 | BOYAmt |
| EOY | $97,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,905,591 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,832,229 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,397,488 | BOYAmt |
| EOY | $5,073,362 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,181,354 | BOYAmt |
| EOY | $7,792,628 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,224,689 | BOYAmt |
| EOY | $2,984,913 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,220 | BOYAmt |
| EOY | $34,131 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,475,000 | BOYAmt |
| EOY | $2,002,162 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,168 | BOYAmt |
| EOY | $683,677 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,371,077 | BOYAmt |
| EOY | $5,704,883 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,810,277 | BOYAmt |
| EOY | $2,087,745 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,810,277 | BOYAmt |
| EOY | $2,087,745 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,181,354 | BOYAmt |
| EOY | $7,792,628 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,722,532 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,006,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,503,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,850,328 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,326,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,397,197 | CurrentTaxYearAmt |
| Total | $30,082,826 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,497,454 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,549,146 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,774,092 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,222,863 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,776,871 | CurrentTaxYearAmt |
| Total | $83,820,426 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,503,650 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,052,189 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,624,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,548,925 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,174,068 | CurrentTaxYearAmt |
| Total | $113,903,252 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $113,903,252 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $104,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,768 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,127 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,784 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,200 | CurrentTaxYearAmt |
| Total | $179,179 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $104,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,768 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,127 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,784 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,200 | CurrentTaxYearAmt |
| Total | $179,179 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $240,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,022 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $387,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $187,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $479,223 | CurrentTaxYearAmt |
| Total | $1,361,001 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,848,909 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,140,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,015,311 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,752,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,685,491 | CurrentTaxYearAmt |
| Total | $115,443,432 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98670 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00250 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,354,669 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,424,043 | DepreciationAmt |
| Book Value | $1,930,626 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,550,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,408,186 | DepreciationAmt |
| Book Value | $3,142,736 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,073,362 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $486,738 |
| DUE TO FUNDING SOURCE | $196,939 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $683,677 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEOLA RODGERS | ||||||||||||||
| PRESIDENT & CEO | $240,000 | $0 | $0 | $0 | $396 | $0 | $3,627 | $0 | $0 | $0 | $244,023 | $0 | $0 | $0 |
| EMILY DEMARCHE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $151,718 | $0 | $0 | $0 | $54 | $0 | $0 | $0 | $18,779 | $0 | $170,551 | $0 | $0 | $0 |
| DERRICK L MURRY | ||||||||||||||
| CHIEF OPERATING OFFICER | $191,767 | $0 | $0 | $0 | $93 | $0 | $3,057 | $0 | $32,029 | $0 | $226,946 | $0 | $0 | $0 |
| FELIPE DIAZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $263,072 | $0 | $0 | $0 | $258 | $0 | $1,445 | $0 | $32,029 | $0 | $296,804 | $0 | $0 | $0 |
| CHIMA O CHIONUMA | ||||||||||||||
| PHYSICIAN | $202,477 | $0 | $2,000 | $0 | $258 | $0 | $6,846 | $0 | $32,029 | $0 | $243,610 | $0 | $0 | $0 |
| BILL HINES | ||||||||||||||
| MEDICAL DIRECTOR - CAPS | $196,516 | $0 | $12,000 | $0 | $820 | $0 | $6,643 | $0 | $32,029 | $0 | $248,008 | $0 | $0 | $0 |
| FRANKIE QUARLES | ||||||||||||||
| CHIEF PATIENT AND RISK MAN | $242,741 | $0 | $2,000 | $0 | $495 | $0 | $6,236 | $0 | $0 | $0 | $251,472 | $0 | $0 | $0 |
| SURAIYA AZIZ | ||||||||||||||
| PHYSICIAN | $184,085 | $0 | $0 | $0 | $1,450 | $0 | $5,018 | $0 | $0 | $0 | $190,553 | $0 | $0 | $0 |
| FRANCISCA OKAFOR | ||||||||||||||
| PHYSICIAN | $169,064 | $0 | $2,000 | $0 | $278 | $0 | $4,604 | $0 | $12,089 | $0 | $188,035 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | SCHC COMPANIES, INC. IS THE SOLE MEMBER OF SYRACUSE COMMUNITY HEALTH CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | SCHC COMPANIES, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND HAS THE POWER TO APPOINT THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | SYRACUSE COMMUNITY HEALTH CENTER, INC. REQUIRES ALL EMPLOYEES, PROVIDERS, DIRECTORS, AND DEPARTMENT MANAGERS TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY DURING THEIR ANNUAL PERFORMANCE EVALUATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD REVIEWS THE PRESIDENT & CEO'S PERFORMANCE, REVIEWS COMPARABLE SALARY DATA AND DECIDES ON APPROPRIATE COMPENSATION. SALARIES FOR KEY EMPLOYEES ARE BASED ON THEIR ANNUAL REVIEW AND COMPARABLE SALARY DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | SYRACUSE COMMUNITY HEALTH CENTER, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | HEALTHCARE CONSULTANTS: PROGRAM SERVICE EXPENSES 288,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 288,708. CONSULTANTS & CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,240,387. MANAGEMENT AND GENERAL EXPENSES 257,796. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,498,183. OTHER: PROGRAM SERVICE EXPENSES 66,692. MANAGEMENT AND GENERAL EXPENSES 118,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,354. LABORATORY FEES: PROGRAM SERVICE EXPENSES 141,211. MANAGEMENT AND GENERAL EXPENSES 1,105. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,316. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SCHC COMPANIES INC | |||||||||||
| 819 SOUTH SALINA STREET | SYRACUSE | NY | 13202 | 222943771 | PROMOTE/SUPPORT HEALTH CENTER | NY | 501(C)(3) | LINE 12A, I | N/A | 0 | |
| SYRACUSE COMMUNITY HEALTH CENTER FOUNDATION INC | |||||||||||
| 819 SOUTH SALINA STREET | SYRACUSE | NY | 13202 | 223201171 | RECEIVE & ADMINISTER GIFTS | NY | 501(C)(3) | LINE 12A, I | 0 | SCHC COMPANIES INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |